Holland/Adams/Brice, Core Concepts in Pharmacology 5th Edition Test Bank
Chapter 9

Question 1

Type: MCMA

The nervous system consists of which two divisions? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. Autonomic
2. Sympathetic
3. Central
4. Peripheral
5. Parasympathetic

Cognitive Level: Remembering

Client Need: Health Promotion and Maintenance

Page Number: 101

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 9-1 Identify the two primary divisions and three primary functions of the nervous system.

Question 2

Type: MCMA

The autonomic nervous system consists of which two subsystems? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. Somatic nervous system
2. Parasympathetic nervous system
3. Peripheral nervous system
4. Sympathetic nervous system
5. Central nervous system

Cognitive Level: Remembering

Client Need: Health Promotion and Maintenance

Page Number: 101

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 9-1 Identify the two primary divisions and three primary functions of the nervous system.

Question 3

Type: MCSA

The somatic nervous system consists of nerves that provide what function?

1. Provide involuntary control over cardiac muscles
2. Provide voluntary control of skeletal muscles
3. Provide involuntary control over smooth muscles
4. Provide involuntary control of glands

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Page Number: 101

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 9-1 Identify the two primary divisions and three primary functions of the nervous system.

Question 4

Type: MCSA

Which nervous system is responsible for the fight-or-flight response?

1. Sympathetic
2. Somatic
3. Peripheral
4. Parasympathetic

Cognitive Level: Understanding

Client Need: Health Promotion and Maintenance

Page Number: 101

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 9-2 Compare and contrast actions of the sympathetic and parasympathetic branches of the autonomic nervous system.

Question 5

Type: MCSA

What is the name of the chemicals that allow nerve impulses to cross the synaptic cleft?

1. Neurotransmitters
2. Neurons
3. Autonomic drugs
4. Presynaptic neurons

Cognitive Level: Remembering

Client Need: Health Promotion and Maintenance

Page Number: 103

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 9-3 Describe the basic functional unit of the nervous system, and explain how neural impulses are conducted.

Question 6

Type: MCMA

What are the two subtypes of norepinephrine receptors? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. Beta
2. Delta
3. Epsilon
4. Alpha
5. Pi

Cognitive Level: Remembering

Client Need: Health Promotion and Maintenance

Page Number: 105

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 9-4 Identify the primary neurotransmitters and types of receptors important to the functioning of the autonomic nervous system.

Question 7

Type: MCSA

A client has been diagnosed with myasthenia gravis and is experiencing severe muscle weakness. The nurse teaches the client that these symptoms are occurring because of the destruction of what receptor?

1. Nicotinic (cholinergic) receptors found in skeletal muscles
2. Norepinephrine (adrenergic) receptors found in skeletal muscle
3. Muscarinic (cholinergic) receptors found in smooth muscle
4. Norepinephrine (adrenergic) receptors found in smooth muscle

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 104

Nursing/Integrated Concepts: Nursing Process: Diagnosis

Learning Outcome: 9-4 Identify the primary neurotransmitters and types of receptors important to the functioning of the autonomic nervous system.

Question 8

Type: MCSA

A client with asthma is using ipratropium (Atrovent), an anticholinergic. What is the most appropriate teaching point for this client?

1. Limit outside activity
2. Monitor serum glucose
3. Increase outside activity
4. Decrease fluid intake

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 110

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 9-4 Identify the primary neurotransmitters and types of receptors important to the functioning of the autonomic nervous system.

Question 9

Type: MCSA

When teaching a client about beta blockers, what should the nurse include in the teaching plan regarding what can occur with abrupt discontinuation?

1. Dry mouth and painful urination
2. Dizziness and coma
3. Chest pain and rebound hypertension
4. Cramping and constipation

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 117

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 9-6 Describe the mechanisms of action, important adverse effects, and primary uses of cholinergic drugs, cholinergic-blocking drugs, adrenergic drugs, and adrenergic-drugs with representative examples.

Question 10

Type: MCSA

A client with benign prostatic hypertrophy (BPH) is started on the alpha blocker, alfuzosin (Uroxatral). The nurse knows it is important to inform the client of which possible side effect?

1. Impotence
2. Diaphoresis
3. Dental caries
4. Constipation

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 117

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 9-6 Describe the mechanisms of action, important adverse effects, and primary uses of cholinergic drugs, cholinergic-blocking drugs, adrenergic drugs, and adrenergic-drugs with representative examples.

Question 11

Type: MCSA

During discharge education, a nurse tells the client who is prescribed an adrenergic blocker to notify a healthcare provider before taking over-the-counter cold, cough, or sinus medication. Which condition does the nurse expect this client to have?

1. Hypertension
2. Gastritis
3. Seizures
4. Severe cold

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 114

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 9-6 Describe the mechanisms of action, important adverse effects, and primary uses of cholinergic drugs, cholinergic-blocking drugs, adrenergic drugs, and adrenergic-drugs with representative examples.

Question 12

Type: MCSA

The nurse knows that some sympathomimetic drugs stimulate which type of receptor that makes these drugs useful in treating asthma?

1. Beta₁
2. Alpha₂
3. Beta₂
4. Alpha₁

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 111

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 9-5 Explain autonomic drugs and the basis of how they are classified.

Question 13

Type: MCSA

The client asks the nurse which medication on a family member’s list is a beta-adrenergic blocker. What should be the nurse’s reply?

1. Prazosin (Minipress)
2. Atenolol (Tenormin)
3. Doxazosin (Cardura)
4. Terazosin (Hytrin)

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Page Number: 114

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 9-6 Describe the mechanisms of action, important adverse effects, and primary uses of cholinergic drugs, cholinergic-blocking drugs, adrenergic drugs, and adrenergic-drugs with representative examples.

Question 14

Type: MCSA

The nurse is providing care to a client who has been prescribed a beta blocker. Which item in the client’s history does the nurse suspect this medication has been prescribed to treat?

1. Increased intraocular pressure
2. Urinary retention
3. Hypertension
4. Hypotension

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 115

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 9-5 Explain autonomic drugs and the basis of how they are classified.

Question 15

Type: MCMA

The nurse is caring for a client with chronic nasal congestion. The client is being treated with phenylephrine (Neo-Synephrine). What are some possible nursing diagnoses for this client? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. Constipation
2. Knowledge deficit related to drug therapy
3. Urinary retention
4. Ineffective breathing pattern
5. Anxiety

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 111

Nursing/Integrated Concepts: Nursing Process: Diagnosis

Learning Outcome: 9-6 Describe the mechanisms of action, important adverse effects, and primary uses of cholinergic drugs, cholinergic-blocking drugs, adrenergic drugs, and adrenergic-drugs with representative examples.

Question 16

Type: MCMA

Stimulation of the sympathetic nervous system is caused by which type(s) of drug? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. Adrenergic agents
2. Parasympathomimetics
3. Sympathomimetics
4. Cholinergic agents
5. Autonomic agents

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Page Number: 105

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 9-5 Explain autonomic drugs and the basis of how they are classified.

Question 17

Type: MCSA

A client with chronic sinusitis complains of heart palpitations and nervousness following the use of pseudoephedrine (Afrin) nasal spray. The nurse recognizes that these side effects are the result of which classification of medication?

1. Sympathomimetics
2. Adrenergic blockers
3. Histamines
4. Parasympathomimetics

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Page Number: 105

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 9-5 Explain autonomic drugs and the basis of how they are classified.

Question 18

Type: MCMA

Stimulation of the parasympathetic nervous system is caused by which type(s) of drug? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. Parasympathomimetics
2. Cholinergic agents
3. Adrenergic agents
4. Sympathomimetics
5. Anticholinergic agents

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Page Number: 105

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 9-5 Explain autonomic drugs and the basis of how they are classified.

Question 19

Type: MCSA

While providing comfort to a client on anticholinergics, what intervention should the nurse avoid?

1. Frequent oral hygiene
2. Hard candy
3. Oral rinses
4. Alcohol-containing mouthwash

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 111

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 9-6 Describe the mechanisms of action, important adverse effects, and primary uses of cholinergic drugs, cholinergic-blocking drugs, adrenergic drugs, and adrenergic-drugs with representative examples.

Question 20

Type: MCSA

Inhibition of the sympathetic nervous system is caused by which type of drug?

1. Adrenergic blockers
2. Sympathomimetics
3. Cholinergic agents
4. Parasympathomimetics

Cognitive Level: Understanding

Client Need: Health Promotion and Maintenance

Page Number: 105

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 9-5 Explain autonomic drugs and the basis of how they are classified.

Question 21

Type: MCMA

Inhibition of the parasympathetic nervous system is caused by which type of drug? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. Anticholinergics
2. Sympathomimetics
3. Parasympathomimetics
4. Cholinergic blockers
5. Sympathomimetic blockers

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Page Number: 105

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 9-5 Explain autonomic drugs and the basis of how they are classified.

Question 22

Type: MCMA

Bethanechol (Urecholine) has been prescribed for a client, who asks the nurse what the side effects of this drug are. Which side effects are related to this drug? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. Abdominal cramping
2. Hypotension
3. Increased salivation
4. Hypertension
5. Urinary retention

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 107

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 9-6 Describe the mechanisms of action, important adverse effects, and primary uses of cholinergic drugs, cholinergic-blocking drugs, adrenergic drugs, and adrenergic-drugs with representative examples.

Question 23

Type: MCSA

The physician states that an anticholinergic drug has been prescribed for a client. The nurse anticipates which medication to be ordered?

1. Ipratropium (Atrovent)
2. Neostigmine (Prostigmin)
3. Bethanechol (Urecholine)
4. Pyridostigmine (Mestinon)

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 109

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 9-6 Describe the mechanisms of action, important adverse effects, and primary uses of cholinergic drugs, cholinergic-blocking drugs, adrenergic drugs, and adrenergic-drugs with representative examples.

Question 24

Type: MCMA

Which side effects limit the usefulness of anticholinergic agents? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. Urinary retention
2. Hypotension
3. Increased salivation
4. Tachycardia
5. Bradycardia

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 109

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 9-6 Describe the mechanisms of action, important adverse effects, and primary uses of cholinergic drugs, cholinergic-blocking drugs, adrenergic drugs, and adrenergic-drugs with representative examples.

Question 25

Type: MCSA

Following a chemical explosion, a client presents to the Emergency Department with muscle twitching, loss of bowel and bladder control, and confusion. The nurse recognizes that the client has been in contact with what nerve agent?

1. Ethosuximide (Zarontin)
2. Atropine (Atropine)
3. Ritodrine (Yutopar)
4. Pridostigmine (Mestinon)

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Numbers: 106–107

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 9-6 Describe the mechanisms of action, important adverse effects, and primary uses of cholinergic drugs, cholinergic-blocking drugs, adrenergic drugs, and adrenergic-drugs with representative examples.

Question 26

Type: MCSA

Which is the action of the parasympathetic nervous system?

1. Fight-or-flight response

2. Reproduction and excretion

3. Rest and digest

4. Increased heart rate and blood pressure

Cognitive Level: Understanding

Client Need: Health Promotion and Maintenance

Page Numbers: 101–102

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 9-2 Compare and contrast actions of the sympathetic and parasympathetic branches of the autonomic nervous system.

Question 27

Type: MCSA

Which statement reflects how drugs affect the autonomic neurotransmitters?

1. They activate and stimulate the receptors of the neurotransmitters.

2. They block or enhance the activity of the neurotransmitter.

3. They initiate or convert the activity of the neurotransmitter.

4. They obstruct and hamper the receptors of the neurotransmitters.

Cognitive Level: Understanding

Client Need: Health Promotion and Maintenance

Page Number: 103

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 9-3 Describe the basic functional unit of the nervous system, and explain how neural impulses are conducted.